Individual
MS. MARY ANGELA SHIRLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
209 S PERU ST, STE 210-211, CICERO, IN 46034
(317) 984-5935
(317) 984-2465
Mailing address
250 N SHADELAND AVE STE 200, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
34003167A
IN
1041C0700X
Clinical Social Worker
Primary
34003167A
IN
Other
Enumeration date
04/18/2006
Last updated
10/23/2020
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